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肺鳞癌和腺癌中E-钙黏附素和基质金属蛋白酶-9的病理意义 被引量:3

Expression and clinical significance of E-cadherin and MMP-9 in lung squamous carcinoma and adenocarcinoma
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摘要 目的检测肺癌组织中E-钙黏附素(E-cadherin)和基质金属蛋白酶-9(matrix metalloproteinase-9,MMP-9)的表达,并对两者与临床病理特征的关系进行了研究。方法应用免疫组织化学方法,对138例肺鳞癌和肺腺癌以及对应的癌旁正常肺组织中E-cadherin和MMP-9蛋白的表达情况进行了检测。结果肺癌组织中E-cadherin的阳性表达率为28.99%(40/138),正常肺组织为66.67%(92/138),两者比较,差异有统计学意义(P<0.05);在肺癌组织中,MMP-9的阳性表达率为59.42%(82/138),正常肺组织为29.71%(41/138),两者比较,差异有统计学意义(P<0.05);E-cadherin和MMP-9的表达水平均与肺癌的分化程度、TNM分期、淋巴结转移及术后生存时间有明显相关(P<0.05);两者的表达与病理类型、性别、年龄、吸烟史无关(P>0.05);E-cadherin蛋白的表达与MMP-9蛋白的表达呈负相关(P<0.05)。结论 E-cadherin低表达与MMP-9高表达是肺癌侵袭转移的重要生物学指标。 Objective To observe the expressions of E-cadherin and matrix metalloproteinase-9( MMP-9) in lung cancer tissues,and to analyze the correlation between their expressions and clinicopathological characteristics of lung cancer.Methods The expression levels of E-cadherin and MMP-9 proteins were detected by immunohistochemistry( SP) in 138 cases of lung squamous carcinoma and lung adenocarcinoma as well as adjacent normal lung tissues. Results The positive expression rate of E-cadherin in lung cancer tissues was 28. 99%( 40 /138),however,which was 66. 67%( 92 /138) in normal lung tissues,there was a significant difference between them( P〈 0. 05). The positive expression rate of MMP-9 in lung cancer tissues was 59. 42%( 82 /138),however,which was 29. 71%( 41 /138) in normal lung tissues,there was a significant difference between them( P〈 0. 05). The expression levels of E-cadherin and MMP-9 were closely correlated to the differentiation degree,TNM staging of lung cancer,lymph node metastasis of lung cancer and patient's survival time after surgery( P〈 0. 05),however,the expression levels of E-cadherin and MMP-9 were not related with pathological type of lung cancer,patient's sex and age,smoking history( P〉 0. 05). Moreover the expression of E-cadherin was negatively correlated to that of MMP-9( P〈0. 05). Conclusion The low expression of E-cadherin and high expression of MMP-9 may be important biological indexes of invasion and metastasis of lung cancer.
出处 《河北医药》 CAS 2016年第24期3690-3694,共5页 Hebei Medical Journal
关键词 肺癌 E-CADHERIN MMP-9 侵袭转移 lung cancer E-cadherin MMP-9 invasive metastasis
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